Beacon Church - School's Out Camp

* If registering multiple children, please submit separate applications for each.

** To guarantee your registration, please complete payment at: www.beaconyeg.com/camps

Child's Information

Child's First Name:*

Child's Last Name:*

Child's Current Age:*

Child's Gender:*

Male

Female

Parent/Guardian Full Name:*

Parent/Guardian Email:*

Parent/Guardian Phone Number:*

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